1-DOVETAIL_BPM006549_FED TAX_2025-0223.pdf

PDF 691 KB Posted

Attached to
Master Agreement AZ|CTR076437
Contract number
CTR076437
Issued by
Arizona

About this file

This document is a Federal Tax Liability and Recent Felony Convictions certification form from the Arizona Department of Transportation for Solicitation No. BPM006549. The form is specifically completed by Dovetail Consulting Inc and is associated with a procurement process through the state of Arizona's online bidding system (https://app.az.gov).

The certification requires the contractor (Dovetail Consulting Inc) to affirm two key points: (1) they do not have any unpaid Federal tax liability that has been assessed and remains unresolved, and (2) they have not been convicted of any felony criminal violations under Federal law within the preceding 24 months. By signing the document dated 2/23/2025, the authorized representative of Dovetail Consulting Inc is attesting to these conditions. If the contractor cannot certify these statements, the document indicates that the matter will be referred to FTA, and no Third Party Agreement will be entered without FTA's written approval.

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Text version

ATTACHMENT NO.

FEDERAL TAX LIABILITY AND RECENT FELONY

CONVICTIONS

Solicitation No: BPM006549 Available online at https://app.az.gov

Instructions for Certification: By signing and submitting this bid or proposal, the prospective lower tier participant is providing the signed certification set out below.

a. Does not have any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

b. Was not convicted of the felony criminal violation under any Federal law within the preceding 24 months.

If the contractor cannot so certify, the Recipient will refer the matter to FTA and not enter into any Third Party Agreement with the Third Party Participant without FTA’s written approval.

Certification

Contractor:

Signature of Authorized Official: Date:

Contractor:

Signature of Authorized Official: Date:

Dovetail Consulting Inc

2/23/2025

File details come from the government source that posted it. Updated .